Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN LESLIE WALLACE, PT, DPT, OCS
ActiveMR. BRIAN LESLIE WALLACE, PT, DPT, OCS is a Physical Therapy Assistant healthcare provider located in FORT BRAGG, North Carolina. NPI 1790888501 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT BRAGG, NC
Registration Details
- NPI Number
- 1790888501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2006 (19.89662719984 yrs)
- Last Updated
- Jun 18, 2025
- Licenses
-
10128 (NC)10128 (NC)
Practice Information
- Address
-
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTERFORT BRAGG, NC, 283106920Browse NC providers · Browse ZIP 28310
- Phone
- 9108078922
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| MR. PHILIP JON ROYER | DPT | 1225037716 |
| DANIEL MILLARD JAYNE | PT | 1427021179 |
| HENRY MATTHEW DEITERS | PT | 1699742940 |
| MRS. PATRICIA ANN CHIPPENDALE | PT | 1003876475 |
| DR. MELISSA DAWN FOLSOM | DPT | 1396707055 |
| MR. RICHARD T PETERS | DPT OCS | 1407811698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.